JOHN SETH LUKENS MD
NPI 1801089834
Family Medicine in Orofino, ID

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
301 CEDAR ST, OROFINO, ID 83544(208) 476-4555(208) 476-5385 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Seth Lukens Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN SETH LUKENS MD (NPI 1801089834) is an individual family medicine provider in Orofino, Idaho, licensed in Idaho (M13875) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Clearwater Valley Hospital & Clinics, and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1801089834
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN SETH LUKENSCredential: MD
Location Address301 CEDAR STOrofino, ID 83544-9029
Mailing Address11234 Anderson St, Llumc, House Staff Office Cp 21005Loma Linda, CA 92354-2804
Fax(208) 476-5385
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateAugust 23, 2007
Last NPPES UpdateDecember 19, 2017
NPI 1801089834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M13875
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

301 CEDAR ST, Orofino, ID 83544

Other Identifiers 1

Medicaid1801089834ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Seth Lukens Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870771140
PECOS Enrollment IDI20171026001072
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims62 services$3.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$17.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$108.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
301 CEDAR ST
OROFINO, ID 83544
Family Medicine
301 CEDAR ST
OROFINO, ID 83544
Medicare Defined Swing Bed Unit
301 CEDAR ST
OROFINO, ID 83544
Durable Medical Equipment & Medical Supplies
301 CEDAR ST
OROFINO, ID 83544
Home Health
301 CEDAR ST
OROFINO, ID 83544
Nurse Anesthetist, Certified Registered
301 CEDAR ST
OROFINO, ID 83544
Pharmacy (Institutional Pharmacy)
301 CEDAR ST
OROFINO, ID 83544
Physician Assistant
301 CEDAR ST
OROFINO, ID 83544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Lukens's NPI number?

The NPI number for John Lukens is 1801089834. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is John Lukens located?

John Lukens practices at 301 Cedar St, Orofino, ID 83544. The listed phone number is (208) 476-4555.

What is John Lukens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Lukens enrolled in Medicare?

Yes. John Lukens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Lukens accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list John Lukens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Lukens affiliated with any hospitals?

According to CMS data, John Lukens is affiliated with Clearwater Valley Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for John Lukens was last updated on December 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.